Individual
MELISA BRADY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LMT, RYT
Contact information
Practice address
211 GRAND AVE # 116, PAONIA, CO 81428-5092
(801) 879-5078
Mailing address
PO BOX 1662, PAONIA, CO 81428-1662
(801) 879-5078
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
MT.0022063
CO
Other
Enumeration date
05/06/2020
Last updated
05/06/2020
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